NPIMap

Individual provider Active NPI

Meghan Shayhorn, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1578786646
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD442491 Issued in PA
Practice address
3500 N Broad St
Philadelphia, PA 19140-4106
Phone
(215) 707-5030
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30188 OK
Emergency Medicine Physician 207P00000X MD442491 PA Primary

Addresses

Primary practice location

3500 N Broad St
Philadelphia, PA 19140-4106

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5103

Other practice location 1

1011 14th Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110620000111 PA Practitioner - Emergency Medicine 6507044682 Reassigns benefits to 3 organizations
I20131112000449 OK Practitioner - Emergency Medicine 6507044682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-2100

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Tishomingo, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Aug 5, 2019 Accepting new patients
On Demand Urgent Care Group PC CurrentSince Aug 1, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Sep 1, 2023 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Sep 1, 2023 Accepting new patients
Mercy Hospital Tishomingo, Inc Emergency Medicine Current Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

Interoperability endpoints

  • Direct secure messaging: meghan.shayhorn.1@14965.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1578786646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 14th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011828",
            "country_code": "US",
            "telephone_number": "580-220-6658",
            "fax_number": "580-220-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYHORN",
        "first_name": "MEGHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "30188",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD442491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.